Healthcare Provider Details

I. General information

NPI: 1801058425
Provider Name (Legal Business Name): GREATER METROPOLITAN ORTHOPAEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 WALKER LN SUITE 501
ALEXANDRIA VA
22310-3245
US

IV. Provider business mailing address

8926 WOODYARD RD SUITE 701
CLINTON MD
20735-4220
US

V. Phone/Fax

Practice location:
  • Phone: 301-856-1682
  • Fax:
Mailing address:
  • Phone: 301-856-1682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERRY LEHNEN
Title or Position: REIMBURSEMENT MANAGER
Credential:
Phone: 301-719-1143